Le kyste hydatique de la rate est une affection rare en Afrique sub-saharienne. Il arrive en 3ème position après celui du foie et du poumon. Le traitement est essentiellement chirurgical en dehors d'un traitement médical ayant prouvé son efficacité. Nous rapportons le 1er cas pris en charge au Service de Chirurgie Générale du CHU Le Dantec à Dakar. Il s'agit d'un patient de 33 ans, originaire de Mauritanie, sans antécédent particulier qui nous a été adressé pour prise en charge d'un kyste splénique de découverte fortuite à l’échographie lors d'un bilan de routine avec sérologie hydatique positive à Eccinochoccus granulosa. L'examen clinique était sans particularité. La biologie retrouvait une thrombopénie à 88000 plaquettes/mm3. Le scanner montrait des kystes spléniques avec calcifications occupant plus de la moitié du parenchyme splénique. Il a bénéficié d'une splénectomie totale dont les suites ont été simples. Aucune particularité n’était notée après un suivi d'un an. Le kyste hydatique splénique est rare. Le traitement est chirurgical qu'il soit radical ou conservateur avec de bons résultats.
Highlights This is a case of abdominal cyst lymphangioma. In this pathology, the spllenic involvement is rare. The treatment is the splenectomy. The Histological exam confirms the diagnosis.
Congenital cystic dilatation of common bile duct is a rare condition in Africa and the West. Its discovery is often fortuitous. The diagnosis is based on imagery. Our goal was to report 3 cases followed by a literature review. Three patients were received, most often for pain of the right hypochondrium. There were 2 women and 1 man aged between 16 and 27 years old. The physical examination was normal. The abdominal CT scan allowed us to diagnose a IA Todani cyst in all patients, including one degenerate. Cholecystectomy with resection of the bile duct, followed by hepatico-jejunal anastomosis on anseen-Y of Roux was performed in 2 patients. The immediate suites were simple. Histology showed inflammation on 2 operative specimen and cholangiocarcinoma on the 3rd. Choledochal DKC is a rare condition, often revealed in adults by complications. Bilio-pancreatic CT is an alternative to cholangio-MRI for its diagnosis with a type I Todani easily recognized. The treatment is surgical with a bad prognosis in case of degeneration.
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